1) Clear mouth and pharynx of blood, vomit, or other fluids2) Select proper size (corner of mouth to angle of mandible)3) Insert turned 90 or 180 degrees and turn into position to avoid pushing tongue back4) Check for spontaneous respirations before reinitiating respirations

NPA indications

May be used in patients with intact cough or gag reflex as well as those without

NPA placement steps

1) Select proper size >Diameter: size of patient's pinky >Length: tip of nose to earlobe2) Lubricate the NPA with water-soluble lube or anesthetic jelly3) Insert the NPA, rotating slightly if there is resistance